NSG 3500 - EXAM 4 QUESTIONS WITH CORRECT
ANSWERS
When is the APGAR score assigned? - ans-At 1 and 5 minutes after birth
sw sw sw sw sw sw swsw sw sw sw sw sw sw
What are the five categories of the APGAR score? - ans-1. HR
sw sw sw sw sw sw sw sw sw swsw sw
2. RR sw
3. muscle tone sw sw
4. reflex irritability (cry)
sw sw sw
5. generalized skin color (coloring)
sw sw sw sw
When the APGAR score is <9 at 5 minutes, it is more important to stabilize the infant than
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
keep them with mom. T/F? - ans-True sw sw sw sw sw swsw
What does each APGAR score mean? - ans->7 = normal
sw sw sw sw sw sw swsw sw sw
4-6 = low sw sw
<3 = critical sw sw
What are the 4 factors that influence initiation of the first breath? - ans-
sw sw sw sw sw sw sw sw sw sw sw sw swsw
Chemical factors: hypercarbia, acidosis, and hypoxia sw sw sw sw sw sw
Sensory factors: overwhelming stimuli aids in transition sw sw sw sw sw sw
Thermal factors: drastic change in temp aids in transition sw sw sw sw sw sw sw sw
Mechanical factors: thoracic squeeze through birth causes fluid release and replacement
sw sw sw sw sw sw sw sw sw sw sw
with air sw
Why does hypoxia, hypercarbia, and acidosis trigger respirations? - ans--
sw sw sw sw sw sw sw sw swsw
hypoxia causes blood oxygen (PO2) levels to rise and pH to drop
sw sw sw sw sw sw sw sw sw sw sw sw
-
carbon dioxide levels (PCO2) begin to rise and prompt the resp center within the medulla t
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
o initiate breathing
sw sw
Periodic breathing in a newborn is not usually associated with any change in skin color or
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
HR. How long are these pauses? - ans-5-15 seconds (approx 3 seconds is norm? P. 298)
sw sw sw sw sw sw swsw sw sw sw sw sw sw sw sw
What are indicators of respiratory difficulties in the newborn? - ans--
sw sw sw sw sw sw sw sw sw swsw
apnea (no breathing for more than 20 seconds)
sw sw sw sw sw sw sw sw
- expiratory grunting
sw sw
- wheezing
sw
- nasal flaring
sw sw
- retractions
sw
- use of accessory muscles to breathe when at rest
sw sw sw sw sw sw sw sw sw
- high RR
sw sw
, What are the five changes for successful cardiopulmonary adaptation? - ans--
sw sw sw sw sw sw sw sw sw swsw
increased aortic pressure
sw sw sw
- decreased venous pressure
sw sw sw
- increased systemic pressure
sw sw sw sw
- decreased pulmonary pressure
sw sw sw
- closure of foramen ovale, DA, and DV
sw sw sw sw sw sw sw
What is the HR when baby is first born? - ans-160-
sw sw sw sw sw sw sw sw sw swsw
180 and then 30 min later it goes to 120-160
sw sw sw sw sw sw sw sw sw
The baby cannot become hypoglycemic from heat loss. T/F? - ans-False.
sw sw sw sw sw sw sw sw sw swsw
How do newborns respond to cold? - ans-
sw sw sw sw sw sw swsw
They burn brown adipose tissue since they cannot shiver to maintain warmth
sw sw sw sw sw sw sw sw sw sw sw
What can the nurse do to regulate temperature in the newborn? - ans-- skin-to-
sw sw sw sw sw sw sw sw sw sw sw swsw sw
skin contact with mom and warm blankets
sw sw sw sw sw sw
- dry head and place cap on baby
sw sw sw sw sw sw sw
- warp baby in two warm blankets
sw sw sw sw sw sw sw
- place unwrapped baby under radiator and monitor temp
sw sw sw sw sw sw sw sw
- monitor axillary temp
sw sw sw
- keep newborn away from drafts
sw sw sw sw sw
babies can regulate their temp better in 24-48hrs
sw sw sw sw sw sw sw
Blood volume is determined in large part by the timing of the umbilical cord clamping. T/F?
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
- ans-True
sw swsw
_____________________ is seen in most newborns as oxygenated blood is shunted to c sw sw sw sw sw sw sw sw sw sw sw sw
entral area of the body and vital organs first. - ans-Acrocyanosis
sw sw sw sw sw sw sw sw sw swsw
What are factors that affect blood glucose on newborns? - ans--
sw sw sw sw sw sw sw sw sw swsw
small for gestational age (SGA)
sw sw sw sw sw
- large for gestational age (LGA)
sw sw sw sw sw
- infants of diabetic mothers
sw sw sw sw
- post-term or intrauterine growth restriction
sw sw sw sw sw
What is vitamin K used for? - ans-
sw sw sw sw sw sw swsw
Coagulation; neonates are at risk of blood clotting deficiency in the first few days of life
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
What are nursing considerations with the Hep B vax? - ans-
sw sw sw sw sw sw sw sw sw swsw
•Requires consent from mother sw sw sw sw
•First vaccination can be given after birth
sw sw sw sw sw sw
•Second vaccination given at one month sw sw sw sw sw
•Third dose given after 5 months sw sw sw sw sw
ANSWERS
When is the APGAR score assigned? - ans-At 1 and 5 minutes after birth
sw sw sw sw sw sw swsw sw sw sw sw sw sw
What are the five categories of the APGAR score? - ans-1. HR
sw sw sw sw sw sw sw sw sw swsw sw
2. RR sw
3. muscle tone sw sw
4. reflex irritability (cry)
sw sw sw
5. generalized skin color (coloring)
sw sw sw sw
When the APGAR score is <9 at 5 minutes, it is more important to stabilize the infant than
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
keep them with mom. T/F? - ans-True sw sw sw sw sw swsw
What does each APGAR score mean? - ans->7 = normal
sw sw sw sw sw sw swsw sw sw
4-6 = low sw sw
<3 = critical sw sw
What are the 4 factors that influence initiation of the first breath? - ans-
sw sw sw sw sw sw sw sw sw sw sw sw swsw
Chemical factors: hypercarbia, acidosis, and hypoxia sw sw sw sw sw sw
Sensory factors: overwhelming stimuli aids in transition sw sw sw sw sw sw
Thermal factors: drastic change in temp aids in transition sw sw sw sw sw sw sw sw
Mechanical factors: thoracic squeeze through birth causes fluid release and replacement
sw sw sw sw sw sw sw sw sw sw sw
with air sw
Why does hypoxia, hypercarbia, and acidosis trigger respirations? - ans--
sw sw sw sw sw sw sw sw swsw
hypoxia causes blood oxygen (PO2) levels to rise and pH to drop
sw sw sw sw sw sw sw sw sw sw sw sw
-
carbon dioxide levels (PCO2) begin to rise and prompt the resp center within the medulla t
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
o initiate breathing
sw sw
Periodic breathing in a newborn is not usually associated with any change in skin color or
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
HR. How long are these pauses? - ans-5-15 seconds (approx 3 seconds is norm? P. 298)
sw sw sw sw sw sw swsw sw sw sw sw sw sw sw sw
What are indicators of respiratory difficulties in the newborn? - ans--
sw sw sw sw sw sw sw sw sw swsw
apnea (no breathing for more than 20 seconds)
sw sw sw sw sw sw sw sw
- expiratory grunting
sw sw
- wheezing
sw
- nasal flaring
sw sw
- retractions
sw
- use of accessory muscles to breathe when at rest
sw sw sw sw sw sw sw sw sw
- high RR
sw sw
, What are the five changes for successful cardiopulmonary adaptation? - ans--
sw sw sw sw sw sw sw sw sw swsw
increased aortic pressure
sw sw sw
- decreased venous pressure
sw sw sw
- increased systemic pressure
sw sw sw sw
- decreased pulmonary pressure
sw sw sw
- closure of foramen ovale, DA, and DV
sw sw sw sw sw sw sw
What is the HR when baby is first born? - ans-160-
sw sw sw sw sw sw sw sw sw swsw
180 and then 30 min later it goes to 120-160
sw sw sw sw sw sw sw sw sw
The baby cannot become hypoglycemic from heat loss. T/F? - ans-False.
sw sw sw sw sw sw sw sw sw swsw
How do newborns respond to cold? - ans-
sw sw sw sw sw sw swsw
They burn brown adipose tissue since they cannot shiver to maintain warmth
sw sw sw sw sw sw sw sw sw sw sw
What can the nurse do to regulate temperature in the newborn? - ans-- skin-to-
sw sw sw sw sw sw sw sw sw sw sw swsw sw
skin contact with mom and warm blankets
sw sw sw sw sw sw
- dry head and place cap on baby
sw sw sw sw sw sw sw
- warp baby in two warm blankets
sw sw sw sw sw sw sw
- place unwrapped baby under radiator and monitor temp
sw sw sw sw sw sw sw sw
- monitor axillary temp
sw sw sw
- keep newborn away from drafts
sw sw sw sw sw
babies can regulate their temp better in 24-48hrs
sw sw sw sw sw sw sw
Blood volume is determined in large part by the timing of the umbilical cord clamping. T/F?
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
- ans-True
sw swsw
_____________________ is seen in most newborns as oxygenated blood is shunted to c sw sw sw sw sw sw sw sw sw sw sw sw
entral area of the body and vital organs first. - ans-Acrocyanosis
sw sw sw sw sw sw sw sw sw swsw
What are factors that affect blood glucose on newborns? - ans--
sw sw sw sw sw sw sw sw sw swsw
small for gestational age (SGA)
sw sw sw sw sw
- large for gestational age (LGA)
sw sw sw sw sw
- infants of diabetic mothers
sw sw sw sw
- post-term or intrauterine growth restriction
sw sw sw sw sw
What is vitamin K used for? - ans-
sw sw sw sw sw sw swsw
Coagulation; neonates are at risk of blood clotting deficiency in the first few days of life
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
What are nursing considerations with the Hep B vax? - ans-
sw sw sw sw sw sw sw sw sw swsw
•Requires consent from mother sw sw sw sw
•First vaccination can be given after birth
sw sw sw sw sw sw
•Second vaccination given at one month sw sw sw sw sw
•Third dose given after 5 months sw sw sw sw sw
